Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720089329 Individual Practitioner Female Practitioner

Dr. Sheila A Patel , MD

General Practice • Oceanside, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sheila Patel, MD is a certified General Practice practicing in Oceanside, CA. With approximately 32 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 1994, Dr. Patel delivers high-quality medical care to the local community at 4002 VISTA WAY.

Dr. Patel is affiliated with Melissa Hurd Medical Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4002 Vista Way

Oceanside, CA 920564506

Telephone 7608142045
Associated Practice Facility / Clinic
🏢 Tri City Immediate Care Facility NPI 1922097500

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Oceanside, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
32 Yrs +14.0 yrs vs City Avg
City Avg: 18.0 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
20 Specialists

Practicing in Oceanside, CA (2300 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (32 Years) 32 Yrs
Oceanside Specialty Average (18.0 Years) 18.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
38 25 $175.00 $97.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
25 18 $225.00 $137.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
21 21 $297.62 $138.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
12 12 $100.00 $61.36

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA A55639

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License WI 43833

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
34140700 (WI)
Commercial Insurance / Payer ID Health Partners
HP67023 (WI)
Commercial Insurance / Payer ID Dean Health Plan
13047 (WI)
Commercial Insurance / Payer ID First Health
2104049 (WI)
Commercial Insurance / Payer ID Unity - Hillsboro Clinic
39092953816 (WI)
Commercial Insurance / Payer ID Railroad Medicare
080181679 (WI)
Commercial Insurance / Payer ID Physician's Plus
1038474 (WI)
Commercial Insurance / Payer ID Mmsi
2026 (WI)
Commercial Insurance / Payer ID Unity - Elroy Clinic
39092953811 (WI)
Commercial Insurance / Payer ID Atrium Commercial
78B99BR (WI)

Hospital & Practice Group Affiliations

Melissa Hurd Medical Corporation

161 Thunder Dr, Vista, CA 920836051

Phone: 7607581988

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lindsay Marsh , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003556184

Certified Registered Nurse Anesthetist

Dr. Allison Auchter , MD, PhD

Emergency Medicine - Emergency Medical Services

NPI 1013595248

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

NPI 1013919455

Doctor of Medicine (M.D.)

Dr. W. Mitchell , MD

Emergency Medicine

NPI 1023003449

Doctor of Medicine (M.D.)

Dr. Marcus Contardo , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1033133285

Doctor of Medicine (M.D.)

Tyler Holst

Registered Nurse - Registered Nurse First Assistant

NPI 1043077340

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 02, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2010

Registered at 4002 VISTA WAY, OCEANSIDE, CA 920564506 (Tel: 7608142045)

📍
Updated Business Mailing Address December 02, 2010

Registered at 7093 HERON CIR, CARLSBAD, CA 920113975 (Tel: 7608142045)

👤
Provider Name / Credentials Updated December 02, 2010

Recorded as SHEILA PATEL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2010

Family Medicine (License #43833 in WI)

🟢
Initial NPI Registration & Enumeration August 03, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720089329
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2005
Last Update: December 02, 2010
Sole Proprietor: Yes

Mailing Address

7093 Heron Cir

Carlsbad, CA 920113975

Phone: 7608142045

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.